Attention RI Medicaid Members: Update on Prescription Access Due to a cybersecurity issue, a contractor serving pharmacies and Medicaid programs across the US is unable to provide important online services at this time. In Rhode Island, this situation impacted pharmacies’ ability to fill prescriptions for members of the AIDS Drug Assistance Program (ADAP) and the Medicaid Program. In response, RI EOHHS has quickly brought online a new way for pharmacies to process claims. Rhode Island Medicaid has also told pharmacies that they can provide a 30-day supply of any prescriptions you are trying to fill, to help you get through this time. The pharmacy should not charge you for any prescription that is covered by Medicaid. Learn more.
Local To National Code Crosswalks All documents are in pdf format HIPAA (Health Insurance Portability & Accountability Act) mandates that all states eliminate the use of their local procedure codes and local modifiers except as specifically provided within 42 CFR (Code of Federal Regulations). RI local codes have been mapped to any existing or new National HCPCS, CPT, ADA or other National Code Sets. There are some local codes that will remain due to the code being non-medical or no appropriate national code crosswalk. Adult Day Care Assisted Living Case Management CEDARR Direct Services (HBTS, Kids Connect & PASS) CEDARR Services Community Mental Health Centers Dental Drug Court Durable Medical Equipment (DME) Early Intervention Emergency Response Federally Quallified Health Center (FQHC) Group Behavioral Health Services Hippotherapy Home Health Hospice Indian Health Center Lead Center Licensed Therapist Local Education Agency (LEA) Meals on Wheels Orthodontics Personal Care/Homemaker Services Physician Severely Disabled Children Homemaker Services Substance Abuse Vision